Did you think you were going to have a nice, peaceful Thanksgiving week? Sorry, no can do.
Abortion opponents who helped challenge Roe v. Wade filed a lawsuit Friday that takes aim at medication abortions, asking a federal judge in Texas to undo decades-old approval of the drugs that have become the preferred method of ending pregnancy in the U.S.
Even before the Supreme Court struck down the constitutional right to an abortion earlier this year, the use of abortion pills had been increasing in the U.S. and demand is expected to grow as more states seek abortion limits.
The lawsuit was filed by the Alliance for Defending Freedom, which was also involved in the Mississippi case that led to Roe v. Wade being overturned. The lawsuit argues the U.S. Food and Drug Administration erred in approving the drugs mifepristone and misoprostol and overstepped its authority in doing so.
Reached for comment, the FDA said it does not comment on pending or ongoing litigation.
The lawsuit was filed in federal court in Amarillo, Texas. The state banned abortion after the Roe decision and is among the states where GOP lawmakers have banned mail delivery of the pills.
The number of medication abortions has increased since regulators started allowing them and now account for roughly 40% of U.S. abortions. The medication can cost as little as $110 to get by mail, compared with at least $300 for a surgical abortion. Research has shown the pills are safe.
However, people seeking abortion pills often must navigate differing state laws, including bans on delivery of the drugs and on telemedicine consultations to discuss the medication with a health care provider. And until Democrat Joe Biden became president, U.S. government policy banned mail delivery nationwide.
Medication abortion accounts for more than half of abortions in the U.S. In response to the pandemic, the FDA allowed abortion pills to be mailed, which contributed to a significant jump in its use. For decades now, it has been used safely and effectively up to 10 weeks of pregnancy. It has been extensively researched for decades, and has proven safe, effective, and convenient for doctors and patients alike.
There is absolutely no scientific or medical basis for the assertions in this case. It is “an incredibly safe medication,” Loren Colson, a family medicine physician in Idaho and fellow with Physicians for Reproductive Health, told The Washington Post. “It’s been well-studied and much safer than a lot of things you can find over the counter,” Colson said. “If they are trying to argue the safety, they have very little ground to stand on. It’s just a clear and blatant attack on abortion.”
One legal expert who has written extensively about the pill calls the safety claims in the suit “ridiculous.” Greer Donley, associate professor of law at the University of Pittsburgh School of Law, said, “Mifepristone is one of the safest drugs on the market, safer than Viagra and penicillin,” citing the decades of research: “We have a lot of studies and a lot of data on it.” This case, she said, is “really weak.”
Which is why the group chose Texas, where they could find a friendly federal district judge. They did. The case is going to Trump appointee Matthew Kacsmaryk, one of the young extremists the Federalist Society handpicked. He is vehemently anti-LGBTQ and misogynistic, and so extreme in his anti-LGBTQ writings that Sen. Susan Collins, a Republican, voted against him.
His hostility to abortion is no secret. He has described Roe v. Wade as wrongly decided. “On January 22, 1973, seven justices of the Supreme Court found an unwritten ‘fundamental right’ to abortion hiding in the due process clause of the Fourteenth Amendment and the shadowy ‘penumbras’ of the Bill of Rights, a celestial phenomenon invisible to the non-lawyer eye.”
It’s a junk case with no basis in science or medical research. But we’ve been here before with junk cases, this federal court district, and the 5th Circuit in which it operates. Kacsmaryk will rule for the plaintiffs and possibly even try to put a national injunction on the use of medication abortion. The administration will appeal and it will go to the abortion-hostile 5th Circuit, from where it will be fast-tracked to the Supreme Court.
So yeah, this is bad, not because of the law or anything like that but because of numbers and court-shopping. I don’t know how long it will take to get to a hearing and then to a preliminary ruling, but it’s out there. Be prepared for it. Bloomberg Law and Kaiser Health News have more.